Week 8 Flashcards

1
Q

Why is it important for nurses to remain civil?

A

-Because nurses don’t always help each other in the way that they help patients -Incivility is extremely volatile -incivility increased the chance of bullying

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2
Q

what is lateral violence?

A

-Nurse to nurse aggression -When a nurse overtly or covertly directs satisfactions towards another nurse

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3
Q

What is incivility?

A

When rude behaviors are allowed to occur

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4
Q

What type of behaviors does incivility perpetuate?

A

discourteous

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5
Q

What type of environment does incivility create?

A

one that does not promote the individuals potential

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6
Q

Incivility arises from……

A

The social interactions allowed by leadership

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7
Q

What does lateral violence/incivility look like

A

-Gossiping -Lack of openness -Face-making

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8
Q

What are the three A’s of civility?

A

-Acknowledgment -Authentic Conversations -Action

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9
Q

How does incivility make someone feel?

A

-Lone -Sad -Scared

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10
Q

What are the three main variables that can lead to incivility?

A

-Leadership -Culture -Inexperience

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11
Q

How does leadership effect bullying?

A

Extreme and weak styles of leadership promote higher rates of bullying

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12
Q

What is the outcome of incivility that is allowed to continue?

A

Bullying

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13
Q

What happens to the nursing profession if bullying is allowed to continue?

A

-Decreased job satisfaction -Decreased quality of patient care -Decreased physical and mental health of the RN -Increased turnover rates -Harm to the reputation of the profession

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14
Q

Group ____ is a strong predictor of nurse retention and work satisfaction

A

Cohesion

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15
Q

Nurses who experience occupational burnout are more likely to _____

A

Abuse other nurses

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16
Q

What are the four categories of incivility intervention?

A

-Workplace relationships -Communication -Empowerment -Environment

17
Q

What accronym is used for negative workplace relationship intervention? What does it stand for?

A

CREW Civility Respect & Engagement in the Workplace

18
Q

What are some aspects of CREW intervention?

A

-Use direct conversations -New ways of interacting -Move away from established patterns -focus on employee ownership -Be active not Passive

19
Q

What intervention should be used for negative workplace communication?

A

-Use cognitive skills vs. reactive approach -Interrupt negative communication before more negativity is created

20
Q

What is the cognitive rehearsal technique (CRT)

A

-Create a “mental plan” in response to an uncivil situation so you can react in a positive way instead of reacting blindly and possibly

21
Q

What percentage of new grad nurses experience burnout due to a dis-empowering work environment?

A

66%

22
Q

What intervention should be used for disempowerment?

A

Use the Structural empowerment model

23
Q

What are some aspects of the structural empowerment model?

A

-Accomplish your work in meaningful ways -Communicate and share your goals -Support and recognize autonomy -identify your opportunities and ways to advance

24
Q

What intervention should be used for a negative work environment?

A

Positive Behavior Support (PBS)

25
Q

What are some aspects of positive behavior support?

A

-Create and preserve a safe environment -use different behaviors while communicating -interact in ways that are positive instead of negative

26
Q

Who originated the term “therapeutic use of self”?

A

Hildegard Peplau

27
Q

What is the grounding for therapeutic use of self?

A

The traditional nures-patient relationship

28
Q

What are the three phases of the traditional nurse-patient relationship?

A

-orientation:introductory phase -Working:address tasks -Termination:Therapeutic end to relationship

29
Q

Positive feelings during the termination phase are often about _____

A

the gains made

30
Q

What does the older model of nurse-patient relationship assume?

A

that the relationship is linear, incremental, trusting, and cooperative

31
Q

What is considered the more relevant model of the nurse patient relationship?

A

Patient-Centered Care (PCC)

32
Q

What three things does PCC depend on?

A

-Alleviating patient vulnerabilities -Therapeutic engagement -Communication as the primary instrument

33
Q

What are the for main criteria for successful communication?

A

-Feedback -Appropriateness -Efficiency -Flexibility

34
Q

What is feedback?

A

When a receiver relays to a sender the effect of the senders message

35
Q

What is Appropriateness as a criteria for successful communication?

A

When a reply fits the circumstances and matches the message

36
Q

What is efficiency as a criteria for successful communication?

A

When the speaker uses simple, clear words that are timed at a pace suitable to participants

37
Q

What is flexibility as a criteria for successful communication

A

When the speaker bases messages on the immediate situation rather than preconceived expectations

38
Q

What three things can be done to become a better communicator?

A

-Listen well -Convey Empathy -Ask open-ended questions